Shafaq Qurban, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

61749 Issued in CA

Practice address

6260 Stoneridge Mall Rd
A218
Pleasanton, CA 94588-3245

Phone

(201) 919-1647

NPI assigned

Sep 11, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1396095956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 STONERIDGE MALL RD",
            "address_2": "A218",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883245",
            "telephone_number": "201-919-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 STONERIDGE MALL RD",
            "address_2": "A218",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883245",
            "telephone_number": "201-919-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURBAN",
        "first_name": "SHAFAQ",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "61749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Alexis Quesada
• Quest Home Health & Hospice Care Inc.
• Mary Quinmore, MS, CF SLP
• Desiree Dawn Quinn, FNP
• Mariah Qura, DC
• R2 Consultancy LLC
• Georgia Bringas Rabara, FNP
• Sherrie Rager, PHD,CATC, MRAS, CCDS
• Arifa Rahman, MD
• Jolie Noelle Rains

• Dentist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.